BOARD OF HEALTH

A G E N D A

Date of Meeting:Monday, February 22, 1999Enquiry:Trudy Perrin

100 Queen Street Westclerk@city.toronto.

Toronto City Hallon.ca

DECLARATIONS OF INTEREST PURSUANT TO THE MUNICIPAL CONFLICT OF INTEREST ACT

CONFIRMATION OF MINUTES

1.PUBLIC HEALTH 1999 BUDGET.

Medical Officer of Health

(February 16, 1999)

Recommending that:

(1)the Board of Health adopt the recommended cost-reduction measures which have a manageable impact on programs and services, and that these be incorporated into the 1999 operating budget submission;

(2)the Board of Health give final approval for the provision of optimal service levels in the Tuberculosis (TB) Control, Needle Exchange and the Food Safety programs as outlined in reports dated January 25, 1999 and further detailed in Appendix A of this report, and that the final costs for these programs, which are not included in the 1999 operating budget request, be submitted to Budget Committee for consideration:

(a)for the food safety program an additional cost of $594,111.00 in 1999, including a one-time cost of $47,011.00, and $1,641,270.00 in 2000 and subsequent years;

(b)for the tuberculosis control program an additional cost of $634,830.00 in 1999, including a one-time cost of $103,377.00, and $1,594,358.00 in 2000 and subsequent years;

(c)for the needle exchange program for the purposes of HIV prevention, additional cost of $233,375.00 in 1999, including a one-time cost of $47,297.00, and $558,234.00 in 2000 and subsequent years, plus one-time capital costs of $78,000.00 in 2000; and

(3)the Board of Health recommend that Council urge Health Canada, Citizenship and Immigration Canada and the Ontario Ministry of Health to provide funding toward an effective TB prevention and control program in Toronto, given that the City of Toronto accounts for 25 percent of TB cases in Canada, that 90 percent of the cases occur in foreign born individuals and that conditions exist for a resurgence of TB in Toronto.

2.OPTIONS FOR THE DELIVERY OF PUBLIC HEALTH

DENTAL TREATMENT PROGRAMS.

Medical Officer of Health

(February 16, 1999)

Recommending that:

(1)the Board of Health uses the results of the analysis of the cost effectiveness of different service delivery options to ensure that whatever service delivery option is chosen for the provision of dental services, the cost of that option is comparable to or less than the direct service delivery model, and the level and quality of care is the same or higher than the direct service delivery model; and

(2)this report be forwarded to Budget Committee for consideration.

2A.DENTAL COMPLEMENT IN PUBLIC HEALTH.

Medical Officer of Health

(February 16, 1999)

Recommending that the Board of Health adopt and refer this report to the Budget Committee for information.

3.ANTICIPATED REVENUES AND EXPENDITURES

RESULTING FROM BY-LAW No. 28-1999,

A BY-LAW RESPECTING ANIMALS.

Medical Officer of Health

(February 12, 1999)

Recommending that this report be referred to Budget Committee for consideration when reviewing the proposed 1999 Operating Budget for Public Health.

4.PUBLIC HEALTH STRATEGIC AND

PROGRAM PLANNING 1999.

Medical Officer of Health

(February 12, 1999)

Recommending that the Board of Health approve the planning process as set out in this report.

5.PARTNERSHIP AGREEMENT BETWEEN TORONTO

PUBLIC HEALTH AND THE ONTARIO CHINESE

RESTAURANT AND FOOD SERVICES ASSOCIATION.

Medical Officer of Health

(February 12, 1999)

Recommending that the Board of Health forward this report to the City of Toronto's Budget Committee for information.

6.APPOINTMENT OF 1999 PUBLIC HEALTH GRANTS

REVIEW PANELS.

Medical Officer of Health

(February 12, 1999)

Recommending that:

(1)the Board of Health appoint to the AIDS Prevention Review Panel the following individuals: Councillors King, Rae and Prue; Lee Zaslofsky; Trevor Grey; AdamShane; Indra Ramkissoon; Susette Clunis; Liz Walker; Jonas Ma; and CarlosFrancis; and

(2)the Board of Health appoint to the Drug Abuse Prevention Review Panel the following individuals: Councillors Bussin, Korwin-Kuczynski, and Mihevc; KathyKozma; Marianne Kobus-Matthews; Eduardo Castro; Claudia Barning; Angela Lee; and Khadigia Ali.

7.INCREASE IN MEMBERSHIP OF ANIMAL SERVICES ADVISORY

SUBCOMMITTEE OF THE BOARD OF HEALTH.

(DEFERRED FROM LAST MEETING)

Councillor Irene Jones, Chair, Animal Services Advisory Subcommittee

(January 11, 1999)

Recommending:

(1)that the Board of Health expand membership of the Animal Services Advisory Subcommittee to include a representative from a recognized special interest group relating to birds within the City of Toronto, for the period ending of November 30, 2000, and until their successors are appointed;

(2)that PIJAC (Pet Industry Joint Advisory Council of Council) be requested to confirm the name of their representative or name any other recognized organization from the pet trade industry within the City of Toronto, for the period ending November 30, 2000, and until their successors are appointed; and

(3)that the Toronto Cat Owners' Assocation again be requested to name their representative on this subcommittee.

7A.The Ontario Exotic Pet Council

(January 25, 1999)

Requesting that a representative of The Ontario Exotic Pet Council be appointed to the Animal Services Advisory Subcommittee.

8.APPOINTMENT OF CITIZEN MEMBERS OF

THE BOARD OF HEALTH.

City Clerk

February 12, 1999

Advising that the City of Toronto Council at its meeting held on February 2, 3 and 4, 1999, adopted, without amendment, Clause No.1 of Report No. 1 of The Nominating Committee, headed "Appointment of Citizen Members to the Board of Health".

9.APPOINTMENTS TO THE TORONTO HOSPITAL

COMMUNITY ADVISING COMMITTEE.

Communication from the City Clerk to follow.

10.SCHEDULE OF MEETINGS, MAY-JULY, 1999.

Item for discussion.